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WO2008080968A1 - Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature - Google Patents

Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature Download PDF

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Publication number
WO2008080968A1
WO2008080968A1 PCT/EP2007/064612 EP2007064612W WO2008080968A1 WO 2008080968 A1 WO2008080968 A1 WO 2008080968A1 EP 2007064612 W EP2007064612 W EP 2007064612W WO 2008080968 A1 WO2008080968 A1 WO 2008080968A1
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Prior art keywords
freeze
compositions according
carbohydrate
semisynthetic
room temperature
Prior art date
Application number
PCT/EP2007/064612
Other languages
French (fr)
Inventor
Elie Leverd
Joël BOUGARET
Marie-Dominique Ibarra
Original Assignee
Pierre Fabre Medicament
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Priority to BRPI0722076-6A2A priority Critical patent/BRPI0722076A2/en
Priority to CN2007800423856A priority patent/CN101534821B/en
Priority to JP2009543478A priority patent/JP2010514737A/en
Priority to AU2007341231A priority patent/AU2007341231B2/en
Priority to NZ576583A priority patent/NZ576583A/en
Priority to EP07866320.0A priority patent/EP2120934B1/en
Priority to CA002673232A priority patent/CA2673232A1/en
Application filed by Pierre Fabre Medicament filed Critical Pierre Fabre Medicament
Priority to US12/514,668 priority patent/US8304424B2/en
Priority to MX2009006949A priority patent/MX2009006949A/en
Publication of WO2008080968A1 publication Critical patent/WO2008080968A1/en
Priority to TNP2009000258A priority patent/TN2009000258A1/en
Priority to IL199556A priority patent/IL199556A/en
Priority to NO20092726A priority patent/NO20092726L/en
Priority to HK09110427.3A priority patent/HK1130439A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4375—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having nitrogen as a ring heteroatom, e.g. quinolizines, naphthyridines, berberine, vincamine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47—Quinolines; Isoquinolines
    • A61K31/475—Quinolines; Isoquinolines having an indole ring, e.g. yohimbine, reserpine, strychnine, vinblastine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/19—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents

Definitions

  • This invention relates to freeze-dried injectable pharmaceutical compositions of semisynthetic vinca alkaloids that are stable at room temperature.
  • vinca alkaloids have been clearly established for some 40 years. Since then, these compounds have been widely used as anti-cancer agents.
  • Vinblastine and vincristine were first isolated from the leaves of Catharanthus roseus G. Don or Vinca rosea L. These alkaloids are dimers consisting of two indole units: catharanthine and vindoline. Vinblastine and vincristine first became available on the market in France in 1963 and 1964 respectively, under the brand names VELBE ® and ONCOVIN ® . Synthesis studies conducted on vinblastine led to the manufacture of vindesine, the first non-natural derivative and the source of the pharmaceutical preparation ELDISINE (1983) .
  • vinorelbine a molecule obtained by a semisynthetic route based on the use of catharanthine and vindoline and which has extensive anti-tumour properties.
  • Vinorelbine was registered under the brand name NAVELBINE ® for the first time in France in 1989 by Pierre Fabre Medicament for the treatment of non-small cell lung cancer then for the treatment of metastatic cancer of the breast in 1992.
  • An oral form was registered in France in 2001.
  • anti-cancer drugs are available in the form of either a ready-to-use solution (ONCOVIN ® , NAVELBINE ® ) or in powder form (VELBE ® , ELDISINE ® ) . They must be stored in the refrigerator at a temperature of 2°C to 8 0 C during both transport and storage.
  • vinflunine is obtained from anhydrovinblastine which itself results from a biomimetic coupling reaction between catharanthine and vindoline.
  • vinflunine is salified in the form of a hydrosoluble salt.
  • ditartrate is isolated after the aqueous solution of this salt is freeze-dried.
  • Vinflunine ditartrate is a white or practically white powder which must be stored at a negative temperature, below -15°C, under an inert gas atmosphere such as nitrogen or argon. This is also true for vinorelbine ditartrate.
  • the Applicant's French patent application 2 863 891 (“Vinflunine pharmaceutical composition for parenteral administration, preparation and usage procedure") focuses on the stabilizing effect of dissolving a hydrosoluble salt of vinflunine in an aqueous medium.
  • One of its claims relates to the good stability of the composition for at least 36 months at 5°C ⁇ 3°C.
  • this invention makes it possible to stabilise hydrosoluble salts of vinflunine and vinorelbine while they are in a pulverulent state. It then becomes possible to store them at room temperature and not below -15°C as mentioned earlier.
  • This invention is based on stable formulations of freeze-dried semisynthetic derivatives of vinca alkaloid in the presence of at least one carbohydrate, such as the monosaccharides, reduced or not, oligosaccharides or polysaccharides such as inuline, more particularly on stable formulations of the hydrosoluble salts of semisynthetic derivatives of vinca alkaloid and more particularly still on stable formulations of freeze-dried hydrosoluble salts of vinflunine and vinorelbine in the presence of disaccharides, more specifically saccharose, trehalose or lactose.
  • the relative proportions of semisynthetic derivatives of vinca alkaloid and carbohydrate can range from 1/1 to 1/20, more specifically from 1/1 to 1/10 (w/w) .
  • these buffer system consist of acetic acid and sodium acetate, citric acid and sodium citrate, tartaric acid and soda.
  • Their molarity is between 0.005 M and 0.5 M and more specifically between 0.05 M and 0.2 M.
  • freeze-dried products obtained were stored for 6 months at 25°C - 60%RH along with one batch of the starting material, vinflunine ditartrate (batch 503) .
  • Saccharose has an incontestable stabilizing effect. This effect is all the greater the higher the saccharose content, as seen by the absorbance results at 420 nm. It should be noted that these totally unexpected excellent results can be further improved.
  • Vinflunine ditartrate is a molecule that is sensitive to oxidation. The person skilled in the art knows very well that combining an inert gas such as nitrogen or argon, or a hydrophilic anti-oxidant agent such as ascorbic acid and its derivatives, the salts of sulphurous acid such as sodium sulphite and thiol derivatives can increase this stability.
  • Example 2 Table 2 Freeze-dried vinflunine formulations
  • freeze-dried products were stored for 1 month at 5°C, 25°C - 60% RH as well as at 40 0 C - 75% RH.
  • the last condition was highly a demanding condition in order to amplify the differences found.
  • the composition of the invention contains a unit quantity of over 50mg of vinflunine.
  • the composition of the invention can contain a unit quantity of over 50 mg of vinflunine, for example 100 mg or 250 mg. From this perspective, the formulation of the solution prior to freeze-drying remains the same, only the volume of the distributed solution changes: 4 ml and 10 ml for the previously mentioned doses of 100 mg and 250 mg vinflunine .
  • the solutions whose unit composition is given in the table below were prepared then freeze-dried.
  • freeze-dried products obtained were stored for 1 month at 25°C - 60% RH and 30 0 C - 65% RH and for 2 months at 5°C and 25°C - 60% RH.
  • Total content in impurities was measured by HPLC and is given with respect to the initial value.
  • the starting material vinorelbine ditartrate
  • T ⁇ -15°C average change equal to +0.3% after 3 months at 5°C
  • composition according to this invention can also contain a unit quantity below or equal to 20 mg of vinorelbine, for example 10 mg and 50 mg.
  • Formulation of the solution prior to freeze-drying remains exactly the same and only the distribution volume changes: 1 ml and 5 ml for the above-mentioned doses of 10 mg and 50 mg available on the market.
  • the pharmaceutical composition according to this invention is administered by infusion by intravenous route after reconstitution in water for injectable preparations and dilution in infusion solutions such as 0.9% sodium chloride or 5% glucose solutions.
  • This invention also relates to the pharmaceutical composition according to the invention for use as a medication, particularly in the treatment of cancer, advantageously by parenteral administration, in an advantageous manner by intravenous route by infusion, and even more advantageously during chemotherapy as an antineoplasic and antitumoral agent.
  • This invention also relates to the use of the composition according to the invention for the manufacture of a medication intended for parenteral administration, advantageously by intravenous route by infusion, advantageously for the treatment of cancer.
  • Parenteral administration namely by intravenous route, of a pharmaceutical composition of vinflunine or vinorelbine according to this invention makes it possible to treat cancers that are sensitive to the effect of vinflunine or vinorelbine.

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  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • Dermatology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Steroid Compounds (AREA)

Abstract

This invention relates to pharmaceutical compositions consisting of a semisynthetic derivative of vinca alkaloid, stable at room temperature, in which said derivative is present in the form of a freeze dried product obtained in the presence of at least one carbohydrate.

Description

FREEZE-DRIED INJECTABLE PHARMACEUTICAL COMBINATION
OF SEMISYNTHETIC VINCA ALKALOIDS AND CARBOHYDRATE
STABLE AT ROOM TEMPERATURE
This invention relates to freeze-dried injectable pharmaceutical compositions of semisynthetic vinca alkaloids that are stable at room temperature.
Generally speaking, the clinical interest of vinca alkaloids has been clearly established for some 40 years. Since then, these compounds have been widely used as anti-cancer agents.
Vinblastine and vincristine were first isolated from the leaves of Catharanthus roseus G. Don or Vinca rosea L. These alkaloids are dimers consisting of two indole units: catharanthine and vindoline. Vinblastine and vincristine first became available on the market in France in 1963 and 1964 respectively, under the brand names VELBE® and ONCOVIN®. Synthesis studies conducted on vinblastine led to the manufacture of vindesine, the first non-natural derivative and the source of the pharmaceutical preparation ELDISINE (1983) .
It is to Poitier et al. that we owe the second non-natural medicinal derivative with a bis indolic structure. This is vinorelbine, a molecule obtained by a semisynthetic route based on the use of catharanthine and vindoline and which has extensive anti-tumour properties. Vinorelbine was registered under the brand name NAVELBINE® for the first time in France in 1989 by Pierre Fabre Medicament for the treatment of non-small cell lung cancer then for the treatment of metastatic cancer of the breast in 1992. An oral form was registered in France in 2001.
These anti-cancer drugs are available in the form of either a ready-to-use solution (ONCOVIN®, NAVELBINE®) or in powder form (VELBE®, ELDISINE®) . They must be stored in the refrigerator at a temperature of 2°C to 80C during both transport and storage.
Several years ago, a new family was created by means of chemical reactions in a super-acid medium. A semisynthetic difluorinated derivative, vinflunine, is currently under clinical development.
In the same way as vinorelbine, vinflunine is obtained from anhydrovinblastine which itself results from a biomimetic coupling reaction between catharanthine and vindoline.
For reasons relating to solubility in water, vinflunine is salified in the form of a hydrosoluble salt. For example, ditartrate is isolated after the aqueous solution of this salt is freeze-dried. Vinflunine ditartrate is a white or practically white powder which must be stored at a negative temperature, below -15°C, under an inert gas atmosphere such as nitrogen or argon. This is also true for vinorelbine ditartrate. The Applicant's French patent application 2 863 891 ("Vinflunine pharmaceutical composition for parenteral administration, preparation and usage procedure") focuses on the stabilizing effect of dissolving a hydrosoluble salt of vinflunine in an aqueous medium. One of its claims relates to the good stability of the composition for at least 36 months at 5°C ± 3°C.
Unexpectedly, this invention makes it possible to stabilise hydrosoluble salts of vinflunine and vinorelbine while they are in a pulverulent state. It then becomes possible to store them at room temperature and not below -15°C as mentioned earlier.
This invention is based on stable formulations of freeze-dried semisynthetic derivatives of vinca alkaloid in the presence of at least one carbohydrate, such as the monosaccharides, reduced or not, oligosaccharides or polysaccharides such as inuline, more particularly on stable formulations of the hydrosoluble salts of semisynthetic derivatives of vinca alkaloid and more particularly still on stable formulations of freeze-dried hydrosoluble salts of vinflunine and vinorelbine in the presence of disaccharides, more specifically saccharose, trehalose or lactose. The relative proportions of semisynthetic derivatives of vinca alkaloid and carbohydrate can range from 1/1 to 1/20, more specifically from 1/1 to 1/10 (w/w) .
Advantageously, the stable formulations of freeze- dried semisynthetic derivatives of vinca alkaloid in the presence of at least one carbohydrate such as the monosaccharides, reduced or not, oligosaccharides or polysaccharides such as inuline, can contain a buffer system with a pH of 3 to 4, more particularly pH = 3.5 in order to maintain the pH of the solution obtained after the freeze-dried product is re-dissolved in water for injectable preparations at a value that enhances the good stability of the active ingredient.
As a non-limiting example, these buffer system consist of acetic acid and sodium acetate, citric acid and sodium citrate, tartaric acid and soda. Their molarity is between 0.005 M and 0.5 M and more specifically between 0.05 M and 0.2 M.
The non-toxicity of these starting materials by parenteral route makes it possible to use these freeze- dried products as injectable drugs in the treatment of cancer .
The formulae below, given as non-limiting examples, and their stability results compared to those of the starting material serve to illustrate the invention .
The solutions whose unit composition appears in table 1 below were prepared then freeze-dried.
Example 1 :
Table 1 : Freeze-dried vinflunine formulations
Figure imgf000005_0001
The following manufacturing procedure was applied:
1). successively dissolve with stirring the saccharose and vinflunine ditartrate in the main part of the acetic acid / sodium acetate 0.1 M buffer solution pH = 3.5 required for manufacturing,
2) . adjust to the final volume with acetic acid / sodium acetate 0.1 M buffer solution pH = 3.5 and homogenize the solution obtained,
3) . sterilize the solution by filtration on a hydrophilic 0.22 μm polyvinylidene fluoride membrane and distribute into type I glass bottles,
4) . Carry out freeze drying operations under the following conditions : product freezing at -48°C, primary desiccation under 0.100 mbar for 37h at a rate of 0.03°C/min, secondary desiccation under 0.010 mbar for 16h at 200C. 5) . stopper the bottles and screw on the caps.
The freeze-dried products obtained were stored for 6 months at 25°C - 60%RH along with one batch of the starting material, vinflunine ditartrate (batch 503) .
The appearance of impurities, corresponding to the products of degradation, was monitored by recording the changes in: ■ absorbance at 420 nm of the reconstituted solution, after 6 months at 25°C and 60 % relative humidity, shown in Figure 1.
■ total impurities after 6 months at 25°C and 60 % relative humidity, expressed as a percentage, and shown in Figure 2.
Saccharose has an incontestable stabilizing effect. This effect is all the greater the higher the saccharose content, as seen by the absorbance results at 420 nm. It should be noted that these totally unexpected excellent results can be further improved. Vinflunine ditartrate is a molecule that is sensitive to oxidation. The person skilled in the art knows very well that combining an inert gas such as nitrogen or argon, or a hydrophilic anti-oxidant agent such as ascorbic acid and its derivatives, the salts of sulphurous acid such as sodium sulphite and thiol derivatives can increase this stability.
The protection conferred on freeze-dried vinflunine by carbohydrates, such as the monosaccharides, reduced or not, oligosaccharides or polysaccharides such as inuline, and more specifically by the disaccharides, is not found with other excipients conventionally used as structuring agents for injectable freeze-dried products. The compositions below were freeze-dried.
Example 2 : Table 2 Freeze-dried vinflunine formulations
Figure imgf000007_0001
The freeze-dried products were stored for 1 month at 5°C, 25°C - 60% RH as well as at 400C - 75% RH. The last condition was highly a demanding condition in order to amplify the differences found.
Total content in impurities was measured by HPLC and is given as a percentage with respect to vinflunine. The results shown in the table below are the calculated differences between measurements at 25°C - 60% RH, 400C - 75% RH and those at 5°C.
Table 3 : Results of total content in impurities
Figure imgf000007_0002
The results obtained for formula MP1762 (trehalose) are good and identical at 25°C - 60% RH and 5°C. The results obtained for formula MP1766 (polyvidone) are clearly not favourable.
All these results, especially those obtained for 6 months of storage at 25°C - 60% RH, come together to make it possible for the formulator to release anti¬ cancer compositions with a shelf-life of over 18 months at room temperature which eliminates the constraint of having to transport and store the formulations at a temperature between 20C and 80C. Advantageously, the composition of the invention contains a unit quantity of over 50mg of vinflunine.
In an advantageous embodiment, the composition of the invention can contain a unit quantity of over 50 mg of vinflunine, for example 100 mg or 250 mg. From this perspective, the formulation of the solution prior to freeze-drying remains the same, only the volume of the distributed solution changes: 4 ml and 10 ml for the previously mentioned doses of 100 mg and 250 mg vinflunine . The solutions whose unit composition is given in the table below were prepared then freeze-dried.
Example 3 : Table 4 Freeze-dried vinorelbine formulations
Figure imgf000008_0001
The freeze-dried products obtained were stored for 1 month at 25°C - 60% RH and 300C - 65% RH and for 2 months at 5°C and 25°C - 60% RH.
Total content in impurities was measured by HPLC and is given with respect to the initial value.
Table 5 : Results of total content in impurities after 1 month with respect to the initial value
Figure imgf000009_0001
Table 6 : Results of total content in impurities after 2 months with respect to the initial value
Figure imgf000009_0002
Under the same storage conditions, the starting material, vinorelbine ditartrate, shows a change in the level of degradation impurities, which means the product needs to be stored T < -15°C (average change equal to +0.3% after 3 months at 5°C) .
The results obtained are highly favourable in terms of storage at room temperature of vinorelbine present in ditartrate form and freeze-dried in the presence of a carbohydrate.
The composition according to this invention can also contain a unit quantity below or equal to 20 mg of vinorelbine, for example 10 mg and 50 mg. Formulation of the solution prior to freeze-drying remains exactly the same and only the distribution volume changes: 1 ml and 5 ml for the above-mentioned doses of 10 mg and 50 mg available on the market.
In one particular embodiment of the invention, the pharmaceutical composition according to this invention is administered by infusion by intravenous route after reconstitution in water for injectable preparations and dilution in infusion solutions such as 0.9% sodium chloride or 5% glucose solutions.
This invention also relates to the pharmaceutical composition according to the invention for use as a medication, particularly in the treatment of cancer, advantageously by parenteral administration, in an advantageous manner by intravenous route by infusion, and even more advantageously during chemotherapy as an antineoplasic and antitumoral agent.
This invention also relates to the use of the composition according to the invention for the manufacture of a medication intended for parenteral administration, advantageously by intravenous route by infusion, advantageously for the treatment of cancer.
Parenteral administration, namely by intravenous route, of a pharmaceutical composition of vinflunine or vinorelbine according to this invention makes it possible to treat cancers that are sensitive to the effect of vinflunine or vinorelbine.

Claims

1. Pharmaceutical compositions consisting of a semisynthetic hydrosoluble derivative of vinca alkaloid, stable at room temperature, wherein said derivative is in a freeze-dried form obtained in the presence of at least one carbohydrate.
2. Compositions according to claim 1 wherein the semisynthetic hydrosoluble derivative of vinca alkaloid is in the form of a hydrosoluble salt.
3. Compositions according to claim 2 wherein the hydrosoluble salt of semisynthetic vinca alkaloid derivatives is vinflunine or vinorelbine.
4. Compositions according to any one of claims 1 to 3 wherein they contain, in addition to carbohydrate (s) as freeze-drying excipients, at least one buffer system.
5. Compositions according to any one of claims 1 to 4 wherein the carbohydrate (s) is chosen from among the monosaccharides, reduced or not, oligosaccharides or polysaccharides such as inuline, more particularly the disaccharides .
6. Compositions according to claim 5 wherein the carbohydrate (s) is chosen from among saccharose, trehalose and lactose.
7. Compositions according to any one of claims 4 to 6 wherein the buffer system chosen to control the pH has a value between 3 and 4, and more specifically a pH in the region of 3.5 and a molarity between 0.005 M and 0.5 M, more specifically between 0.05 M and 0.2 M.
8. Compositions according to any one of claims 1 to 7 wherein they are manufactured ands packaged under an inert gas atmosphere and/or with incorporation of a hydrophilic anti-oxidation agent into the formula.
9. Compositions according to any one of claims 1 to 8 wherein they are in a form suited to administration by infusion by intravenous route.
PCT/EP2007/064612 2006-12-29 2007-12-28 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature WO2008080968A1 (en)

Priority Applications (13)

Application Number Priority Date Filing Date Title
MX2009006949A MX2009006949A (en) 2006-12-29 2007-12-28 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature.
CA002673232A CA2673232A1 (en) 2006-12-29 2007-12-28 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature
JP2009543478A JP2010514737A (en) 2006-12-29 2007-12-28 A semi-synthetic vinca alkaloid and carbohydrate freeze-dried pharmaceutical combination that is stable at room temperature
AU2007341231A AU2007341231B2 (en) 2006-12-29 2007-12-28 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature
NZ576583A NZ576583A (en) 2006-12-29 2007-12-28 Freeze-dried pharmaceutical composition comprising vinfluine or vinorelbine and a carbohydrate which is stable at room temperature
EP07866320.0A EP2120934B1 (en) 2006-12-29 2007-12-28 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature
US12/514,668 US8304424B2 (en) 2006-12-29 2007-12-28 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature
BRPI0722076-6A2A BRPI0722076A2 (en) 2006-12-29 2007-12-28 INJECTABLE LYOPHILIZED PHARMACEUTICAL COMBINATION OF VINCA SEMISYNTHETIC ALKALOIDS AND STABLE CARBOHYDRATE AT ENVIRONMENT TEMPERATURE
CN2007800423856A CN101534821B (en) 2006-12-29 2007-12-28 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature
TNP2009000258A TN2009000258A1 (en) 2006-12-29 2009-06-23 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature.
IL199556A IL199556A (en) 2006-12-29 2009-06-25 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature
NO20092726A NO20092726L (en) 2006-12-29 2009-07-20 Freeze-dried, injectable, framasitic combination of semi-synthetic vinca alkoids and carbohydrates that are stable at room temperature
HK09110427.3A HK1130439A1 (en) 2006-12-29 2009-11-10 Freeze-dried injectable pharmaceutical combination of semisynthetic vinca alkaloids and carbohydrate stable at room temperature

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
FR0656044A FR2910812B1 (en) 2006-12-29 2006-12-29 LYOPHILIZED INJECTABLE PHARMACEUTICAL COMPOSITIONS OF HEMI-SYNTHETIC STABLE VINCA ALKALOID DERIVATIVES AT AMBIENT TEMPERATURE
FR0656044 2006-12-29
US89705907P 2007-01-24 2007-01-24
US60/897,059 2007-01-24

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EP (1) EP2120934B1 (en)
JP (1) JP2010514737A (en)
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CN (1) CN101534821B (en)
AR (1) AR064715A1 (en)
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BR (1) BRPI0722076A2 (en)
CA (1) CA2673232A1 (en)
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IL (1) IL199556A (en)
MA (1) MA30892B1 (en)
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NO (1) NO20092726L (en)
NZ (1) NZ576583A (en)
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